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Dr. Peter Attia

👤 Speaker
11186 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Like I couldn't spare the two hours to go to the dentist and he was willing to see me nights and weekends. This is the most accommodating dentist in the world. Everybody should have that kind of dentist. Tony Pacheco. I can't say enough about him. And yet I couldn't make the time. So for two months, the pain got so bad that eventually couldn't chew on that side at all.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Like I couldn't spare the two hours to go to the dentist and he was willing to see me nights and weekends. This is the most accommodating dentist in the world. Everybody should have that kind of dentist. Tony Pacheco. I can't say enough about him. And yet I couldn't make the time. So for two months, the pain got so bad that eventually couldn't chew on that side at all.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

So my point is I had to be taking something to get through the day. And the stack that worked was 400 of Advil, 500 of Tylenol, three times a day. Okay. Took care of me.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

So my point is I had to be taking something to get through the day. And the stack that worked was 400 of Advil, 500 of Tylenol, three times a day. Okay. Took care of me.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I don't know, but the reason I prefer it is that I can line up the dosing with the acetaminophen because I believe naproxen you only take once a day, right? Twice a day. Twice a day. Okay. You're right.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I don't know, but the reason I prefer it is that I can line up the dosing with the acetaminophen because I believe naproxen you only take once a day, right? Twice a day. Twice a day. Okay. You're right.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I wanted something where I could do it TID instead of BID.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I wanted something where I could do it TID instead of BID.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Okay.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Okay.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Are there types of pains people should be thinking of where these things work especially well and other areas where, yeah, that's just not going to have much efficacy?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Are there types of pains people should be thinking of where these things work especially well and other areas where, yeah, that's just not going to have much efficacy?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

So you're saying maybe we should be empirical. In other words, try the naproxen, try the ibuprofen, figure out which one works. Obviously, don't take them together.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

So you're saying maybe we should be empirical. In other words, try the naproxen, try the ibuprofen, figure out which one works. Obviously, don't take them together.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Do you have a concern with people taking acetaminophen and consuming alcohol? Do you tell people to refrain from alcohol when they're taking Tylenol?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Do you have a concern with people taking acetaminophen and consuming alcohol? Do you tell people to refrain from alcohol when they're taking Tylenol?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I typically, when I'm taking acetaminophen, I don't drink much anyway. I'm probably going to have four drinks in a week. So meaning four days a week, I will have a drink or three days a week. But if I am taking Tylenol, I'm just going to refrain. Again, I don't have any evidence to suggest that that's necessary. Probably the safest. It's the precautionary principle at its finest.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I typically, when I'm taking acetaminophen, I don't drink much anyway. I'm probably going to have four drinks in a week. So meaning four days a week, I will have a drink or three days a week. But if I am taking Tylenol, I'm just going to refrain. Again, I don't have any evidence to suggest that that's necessary. Probably the safest. It's the precautionary principle at its finest.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Okay, I want to talk about muscle relaxants. So the other thing that has been a real favorite tool of mine is baclofen. Now, it's not a particularly potent muscle relaxant, but it seems to, for me and for the patients of mine in whom it works, offer something really potent like Valium. Doesn't bring all the baggage of a benzo. or even a Flexeril where you can kind of get the drowsiness.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Okay, I want to talk about muscle relaxants. So the other thing that has been a real favorite tool of mine is baclofen. Now, it's not a particularly potent muscle relaxant, but it seems to, for me and for the patients of mine in whom it works, offer something really potent like Valium. Doesn't bring all the baggage of a benzo. or even a Flexeril where you can kind of get the drowsiness.